US3851044A - Bone seeking technetium 99m stannous phosphate complex - Google Patents
Bone seeking technetium 99m stannous phosphate complex Download PDFInfo
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- US3851044A US3851044A US00288577A US28857772A US3851044A US 3851044 A US3851044 A US 3851044A US 00288577 A US00288577 A US 00288577A US 28857772 A US28857772 A US 28857772A US 3851044 A US3851044 A US 3851044A
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- Prior art keywords
- phosphate
- pyrophosphate
- bone
- complex
- stannous
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 43
- GKLVYJBZJHMRIY-OUBTZVSYSA-N Technetium-99 Chemical compound [99Tc] GKLVYJBZJHMRIY-OUBTZVSYSA-N 0.000 title description 9
- 229940056501 technetium 99m Drugs 0.000 title description 9
- FSBZGYYPMXSIEE-UHFFFAOYSA-H tin(2+);diphosphate Chemical compound [Sn+2].[Sn+2].[Sn+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O FSBZGYYPMXSIEE-UHFFFAOYSA-H 0.000 title description 8
- XPPKVPWEQAFLFU-UHFFFAOYSA-J diphosphate(4-) Chemical compound [O-]P([O-])(=O)OP([O-])([O-])=O XPPKVPWEQAFLFU-UHFFFAOYSA-J 0.000 claims abstract description 44
- 229910019142 PO4 Inorganic materials 0.000 claims abstract description 43
- 235000011180 diphosphates Nutrition 0.000 claims abstract description 38
- 239000000203 mixture Substances 0.000 claims abstract description 38
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 claims abstract description 37
- 239000010452 phosphate Substances 0.000 claims abstract description 37
- 229920000388 Polyphosphate Polymers 0.000 claims abstract description 29
- 239000001205 polyphosphate Substances 0.000 claims abstract description 29
- 235000011176 polyphosphates Nutrition 0.000 claims abstract description 29
- 230000002285 radioactive effect Effects 0.000 claims abstract description 17
- 241000124008 Mammalia Species 0.000 claims abstract description 11
- 238000009472 formulation Methods 0.000 claims abstract description 3
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical group OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 claims abstract 2
- 125000002467 phosphate group Chemical group [H]OP(=O)(O[H])O[*] 0.000 description 41
- 235000021317 phosphate Nutrition 0.000 description 37
- 229940048084 pyrophosphate Drugs 0.000 description 36
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 34
- 239000000243 solution Substances 0.000 description 21
- 210000000056 organ Anatomy 0.000 description 17
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 11
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 10
- 241000699670 Mus sp. Species 0.000 description 9
- 235000019818 tetrasodium diphosphate Nutrition 0.000 description 9
- IUTCEZPPWBHGIX-UHFFFAOYSA-N tin(2+) Chemical compound [Sn+2] IUTCEZPPWBHGIX-UHFFFAOYSA-N 0.000 description 9
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 8
- 230000037396 body weight Effects 0.000 description 8
- 238000001727 in vivo Methods 0.000 description 8
- 238000001990 intravenous administration Methods 0.000 description 8
- 238000009206 nuclear medicine Methods 0.000 description 8
- 230000001698 pyrogenic effect Effects 0.000 description 8
- 239000011734 sodium Substances 0.000 description 8
- 229910052708 sodium Inorganic materials 0.000 description 8
- FQENQNTWSFEDLI-UHFFFAOYSA-J sodium diphosphate Chemical compound [Na+].[Na+].[Na+].[Na+].[O-]P([O-])(=O)OP([O-])([O-])=O FQENQNTWSFEDLI-UHFFFAOYSA-J 0.000 description 8
- 229940048086 sodium pyrophosphate Drugs 0.000 description 8
- 239000001577 tetrasodium phosphonato phosphate Substances 0.000 description 8
- 238000000034 method Methods 0.000 description 7
- 239000012299 nitrogen atmosphere Substances 0.000 description 7
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 6
- 239000007864 aqueous solution Substances 0.000 description 6
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 6
- 239000007787 solid Substances 0.000 description 6
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 5
- 239000002253 acid Chemical class 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 5
- 239000008280 blood Substances 0.000 description 5
- 238000003384 imaging method Methods 0.000 description 5
- 229910052757 nitrogen Inorganic materials 0.000 description 5
- 235000019832 sodium triphosphate Nutrition 0.000 description 5
- 239000010414 supernatant solution Substances 0.000 description 5
- ATJFFYVFTNAWJD-UHFFFAOYSA-N Tin Chemical compound [Sn] ATJFFYVFTNAWJD-UHFFFAOYSA-N 0.000 description 4
- 150000001875 compounds Chemical class 0.000 description 4
- 230000008021 deposition Effects 0.000 description 4
- 238000010253 intravenous injection Methods 0.000 description 4
- 239000006228 supernatant Substances 0.000 description 4
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 description 4
- GEZAUFNYMZVOFV-UHFFFAOYSA-J 2-[(2-oxo-1,3,2$l^{5},4$l^{2}-dioxaphosphastannetan-2-yl)oxy]-1,3,2$l^{5},4$l^{2}-dioxaphosphastannetane 2-oxide Chemical compound [Sn+2].[Sn+2].[O-]P([O-])(=O)OP([O-])([O-])=O GEZAUFNYMZVOFV-UHFFFAOYSA-J 0.000 description 3
- CWYNVVGOOAEACU-UHFFFAOYSA-N Fe2+ Chemical compound [Fe+2] CWYNVVGOOAEACU-UHFFFAOYSA-N 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 3
- 125000004122 cyclic group Chemical group 0.000 description 3
- -1 cyclic phosphates Chemical class 0.000 description 3
- 210000003734 kidney Anatomy 0.000 description 3
- 210000004185 liver Anatomy 0.000 description 3
- 230000036210 malignancy Effects 0.000 description 3
- 238000002156 mixing Methods 0.000 description 3
- 230000003647 oxidation Effects 0.000 description 3
- 238000007254 oxidation reaction Methods 0.000 description 3
- 150000003839 salts Chemical class 0.000 description 3
- UGTZMIPZNRIWHX-UHFFFAOYSA-K sodium trimetaphosphate Chemical compound [Na+].[Na+].[Na+].[O-]P1(=O)OP([O-])(=O)OP([O-])(=O)O1 UGTZMIPZNRIWHX-UHFFFAOYSA-K 0.000 description 3
- 229910052712 strontium Inorganic materials 0.000 description 3
- 231100000331 toxic Toxicity 0.000 description 3
- 230000002588 toxic effect Effects 0.000 description 3
- UNXRWKVEANCORM-UHFFFAOYSA-I triphosphate(5-) Chemical compound [O-]P([O-])(=O)OP([O-])(=O)OP([O-])([O-])=O UNXRWKVEANCORM-UHFFFAOYSA-I 0.000 description 3
- TXUICONDJPYNPY-UHFFFAOYSA-N (1,10,13-trimethyl-3-oxo-4,5,6,7,8,9,11,12,14,15,16,17-dodecahydrocyclopenta[a]phenanthren-17-yl) heptanoate Chemical compound C1CC2CC(=O)C=C(C)C2(C)C2C1C1CCC(OC(=O)CCCCCC)C1(C)CC2 TXUICONDJPYNPY-UHFFFAOYSA-N 0.000 description 2
- 206010061728 Bone lesion Diseases 0.000 description 2
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 241001465754 Metazoa Species 0.000 description 2
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 2
- 229910021626 Tin(II) chloride Inorganic materials 0.000 description 2
- QCWXUUIWCKQGHC-UHFFFAOYSA-N Zirconium Chemical compound [Zr] QCWXUUIWCKQGHC-UHFFFAOYSA-N 0.000 description 2
- 238000009825 accumulation Methods 0.000 description 2
- 230000035508 accumulation Effects 0.000 description 2
- 229910052783 alkali metal Inorganic materials 0.000 description 2
- 150000001340 alkali metals Chemical class 0.000 description 2
- 239000003963 antioxidant agent Substances 0.000 description 2
- 235000006708 antioxidants Nutrition 0.000 description 2
- 206010003246 arthritis Diseases 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000005587 bubbling Effects 0.000 description 2
- 150000001768 cations Chemical class 0.000 description 2
- AZSFNUJOCKMOGB-UHFFFAOYSA-K cyclotriphosphate(3-) Chemical compound [O-]P1(=O)OP([O-])(=O)OP([O-])(=O)O1 AZSFNUJOCKMOGB-UHFFFAOYSA-K 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 238000004108 freeze drying Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 150000002500 ions Chemical class 0.000 description 2
- 230000001394 metastastic effect Effects 0.000 description 2
- 206010061289 metastatic neoplasm Diseases 0.000 description 2
- 230000002188 osteogenic effect Effects 0.000 description 2
- 239000007800 oxidant agent Substances 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 125000004430 oxygen atom Chemical group O* 0.000 description 2
- 230000001575 pathological effect Effects 0.000 description 2
- 239000002244 precipitate Substances 0.000 description 2
- WQGWDDDVZFFDIG-UHFFFAOYSA-N pyrogallol Chemical compound OC1=CC=CC(O)=C1O WQGWDDDVZFFDIG-UHFFFAOYSA-N 0.000 description 2
- 231100000161 signs of toxicity Toxicity 0.000 description 2
- 235000011150 stannous chloride Nutrition 0.000 description 2
- 239000001119 stannous chloride Substances 0.000 description 2
- 238000003860 storage Methods 0.000 description 2
- CIOAGBVUUVVLOB-UHFFFAOYSA-N strontium atom Chemical compound [Sr] CIOAGBVUUVVLOB-UHFFFAOYSA-N 0.000 description 2
- 231100000064 subacute toxicity study Toxicity 0.000 description 2
- 229910052726 zirconium Inorganic materials 0.000 description 2
- KWJPTZSGVFKSDH-UHFFFAOYSA-N 1-(3-nitrophenyl)piperazine;dihydrochloride Chemical compound Cl.Cl.[O-][N+](=O)C1=CC=CC(N2CCNCC2)=C1 KWJPTZSGVFKSDH-UHFFFAOYSA-N 0.000 description 1
- 102000009027 Albumins Human genes 0.000 description 1
- 108010088751 Albumins Proteins 0.000 description 1
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 1
- 208000030136 Marchiafava-Bignami Disease Diseases 0.000 description 1
- 208000029725 Metabolic bone disease Diseases 0.000 description 1
- 208000010191 Osteitis Deformans Diseases 0.000 description 1
- 206010031252 Osteomyelitis Diseases 0.000 description 1
- 206010031253 Osteomyelitis acute Diseases 0.000 description 1
- 206010031256 Osteomyelitis chronic Diseases 0.000 description 1
- 206010031264 Osteonecrosis Diseases 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 208000027868 Paget disease Diseases 0.000 description 1
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 150000007513 acids Chemical class 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000007059 acute toxicity Effects 0.000 description 1
- 231100000403 acute toxicity Toxicity 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 150000003863 ammonium salts Chemical class 0.000 description 1
- 125000004429 atom Chemical group 0.000 description 1
- 239000002585 base Substances 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000008081 blood perfusion Effects 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 230000002308 calcification Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 239000002738 chelating agent Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003638 chemical reducing agent Substances 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 230000000536 complexating effect Effects 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000007865 diluting Methods 0.000 description 1
- 229910001873 dinitrogen Inorganic materials 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 210000003743 erythrocyte Anatomy 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 229960001459 ferrous ascorbate Drugs 0.000 description 1
- 238000005194 fractionation Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 231100001231 less toxic Toxicity 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229910052744 lithium Inorganic materials 0.000 description 1
- 208000027202 mammary Paget disease Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 230000001617 migratory effect Effects 0.000 description 1
- 239000000178 monomer Substances 0.000 description 1
- 238000010979 pH adjustment Methods 0.000 description 1
- IBIRZFNPWYRWOG-UHFFFAOYSA-N phosphane;phosphoric acid Chemical compound P.OP(O)(O)=O IBIRZFNPWYRWOG-UHFFFAOYSA-N 0.000 description 1
- 125000004437 phosphorous atom Chemical group 0.000 description 1
- 229910052698 phosphorus Inorganic materials 0.000 description 1
- 239000011574 phosphorus Substances 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 230000005258 radioactive decay Effects 0.000 description 1
- 229940121896 radiopharmaceutical Drugs 0.000 description 1
- 239000012217 radiopharmaceutical Substances 0.000 description 1
- 230000002799 radiopharmaceutical effect Effects 0.000 description 1
- 238000001959 radiotherapy Methods 0.000 description 1
- 235000017557 sodium bicarbonate Nutrition 0.000 description 1
- UIIMBOGNXHQVGW-UHFFFAOYSA-M sodium bicarbonate Substances [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 1
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 235000019830 sodium polyphosphate Nutrition 0.000 description 1
- 239000008174 sterile solution Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 229910052713 technetium Inorganic materials 0.000 description 1
- UDEJEOLNSNYQSX-UHFFFAOYSA-J tetrasodium;2,4,6,8-tetraoxido-1,3,5,7,2$l^{5},4$l^{5},6$l^{5},8$l^{5}-tetraoxatetraphosphocane 2,4,6,8-tetraoxide Chemical compound [Na+].[Na+].[Na+].[Na+].[O-]P1(=O)OP([O-])(=O)OP([O-])(=O)OP([O-])(=O)O1 UDEJEOLNSNYQSX-UHFFFAOYSA-J 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
- 238000010626 work up procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K51/00—Preparations containing radioactive substances for use in therapy or testing in vivo
- A61K51/02—Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2123/00—Preparations for testing in vivo
Definitions
- Tc technetium- 99m
- the bone uptake (the percent of the total dosage which becomes concentrated in the skeletal structure within a certain time after in vivo intravenous administration) of such Tccontaining complex and the ratios of such bone uptake to uptake of the Tc by the other organs of the body (the higher these ratios the better), i.e. radioactive contrast, are not nearly as high as with radioactive strontium.
- the phosphate moiety of the Tc-stannous-phosphate complex which has been suggested in the aforesaid Radiology publication, comprises pyrophosphate (P O (which is a linear polyphosphate moiety of molecular weight less than 300), the bone uptake, bone/blood ratio, bone/liver ratio, bone/ G.I. ratio and bone/kidneys ratio are substantially increased.
- P O pyrophosphate
- Such phosphate moiety contains no more than about 15 to 20 or 25%, preferably no more than 5 to 10% and more preferably no more than 5% (less than 5% is the most preferred), by weight of linear or branched chain polyphosphate (formula P O of molecular weight greater than that of pyrophosphate.
- Tc-Sn++-pyrophosphate complex is administered to the mammal in relatively small dosages of substantially less than 20 or 25, preferably substantially less than 8 or 10 and still more preferably less than 5 or 6 (between 0.01 or 0.10 and 3 and even less provide excellent results), milligrams pyrophosphate moiety per kilogram of body weight of the mammal.
- phosphate moiety refers to the phosphorus and oxygen atoms only of the phosphate.
- polyphosphates of formula P 0 (n+2) and molecular weight greater than that of pyrophosphate seems to reduce bone take-up and the aforesaid ratios, as compared to complexes without such higher molecular weight polyphosphate.
- some of such higher molecular weight polyphosphates can be tolerated, preferably not more than about 15 to 20% or 25%, more preferably no more than 5% to 10% and still more preferably not more than 5% (less than 5% is the most preferred), by weight of the total phosphate moiety.
- the rest of the phosphate moiety is preferably a ring phosphate of formula P O (with n preferably being 3 which is trimetaphosphate) and/ or ortho phosphate, and preferably a ring phosphate only, although the aforesaid limited amounts of higher molecular weight linear polyphosphates can be tolerated.
- the complex is made from a water soluble alkali metal (preferably sodium) or ammonium salt or acid salt of the pyrophosphate, e.g. sodium pyrophosphate.
- a water soluble alkali metal preferably sodium
- ammonium salt or acid salt of the pyrophosphate e.g. sodium pyrophosphate.
- the sodium pyrophosphate is admixed with a stannous salt, e.g. SnCl (the stannous salts of other acids which are pharmaceutically acceptable, i.e. safely intravenously administered, can be used) to form the stannous-pyrophosphate complex, the pH of which is adjusted to 3-8, preferably -8, by a pharmaceutically acceptable acid, such as HCl, or base, such as NaOH or Na CO or NaHCO followed by admixing with the stannous-pyrophosphate complex, an aqueous saline solution of radioactive sodium pertechnetate Tc) to form the Tc-stannous-pyrophosphate complex at the time it is desired to intravenously administer the Tc complex.
- a stannous salt e.g. SnCl (the stannous salts of other acids which are pharmaceutically acceptable, i.e. safely intravenously administered, can be used
- a pharmaceutically acceptable acid such as HCl, or base, such as NaOH
- the stannous-pyrophosphate complex may be sealed in a sterile non-pyrogenic container or vial as a solution or a lyophilized solid and shipped as a kit with the freshly generated sterile and non-pyrogenic Tc being added aseptically at the situs just prior to use.
- a fifth acetone fraction of the EMU Glass H (oonta g the next higher molecular weight polyphosphates) (composition given in Table 2) is precipitated out of the remaining supernatant solution of 1-4, as an oil, by adding more acetone.
- a seventh acetone fraction of FMC Glass H (composition given in Table 2) is precipitated out of the remaining supernatant solution of 1-6, as a solid precipitate of the next higher molecular weight polyphosphates by adding more acetone.
- Sodium tripolyphosphate 10 Sodium tetrapolyphosphate-NanP4013-a polyphosphate-phosphate moiety having a MW. of 348. It, together with the pyrophosphate and tripolyphosphate, fall in the class of linear chain polyphosphates having the general formula PHOsni-F -An aqueous solution of each of the phosphate composition samples 1 through 1 0 (40 mg. phosphate/1 ml. solution) were made with distilled water in which the dissolved oxygen content was reduced in a conventional manner by bubbling through such water gaseous nitrogen for a period of two hours. The water and phosphates were mixed to form the solutions in a nitrogen atmosphere and in a nitrogen flushed container.
- aqueous solution 3N sodium hydroxide (sodium carbonate or bicarbonate can also be used), in the case of samples 1 through 7 and 9 and 10, and 3N HCl, in the case of sample 8, is then added to each sample to give a pH of 5.0 to achieve a pH suitable for subsequent intravenous in vivo administration into the body of a mammal, in this case adult mice.
- the pH adjustment is preferably done under a nitrogen atmosphere also.
- the solutions are sterilized by passing them through a Millipore biological filter of 0.22 micron pore size under a nitrogen atmosphere. Thereafter milliliter portions of each of the sterile solutions are poured into individual sterile and non-pyrogenic storage glass vials under a nitrogen atmosphere.
- vials are lyophilized by conventional freeze drying equipment under aseptic conditions to remove water. This provides a solid stannousphosphate complex which aids in shipping and storage and which is more stable than the complex in solution.
- Each vial contains 1.35 mg. SnCl and 40 mg. of the phosphate.
- the vials can be sealed and stored until needed subsequently to form the technetium 99m stannous-phosphate complex at the use situs.
- sample 11 An eleventh sample was prepared in the manner set forth above by diluting sample 8 to a concentration of 1 mg. of phosphate per ml. of solution. This was labeled sample 11.
- Each of the technetium-99m-stannous-phosphate com refers to the phosphate moiety of sodium trimetaphosphate
- Tetrameta R refers to the phosphate moiety of sodium tetrametaphosphate, both trimeta and tetrametaphosphates falling within the class of cyclic or ring phosphates having the formula P O in which Pentapoly plex-contammg solutlons 1s aseptically 1ntravenously 1nand Longer Llnear Cha1ns refers to the phosphate moiected 1n VlVO 1nto a ve1n 1n the tail of adult mice (average ety of sodium pentapolyphosphate and longer linear (linwelght 0.040 kgs.) 1n an amount equal to between 1 and car as used herein includes straight and branched linear 3 mC1 and a volume of (M2 ml.
- sample 8 (8 mg. of phosphate per phosphate chains) polyphosphates of formula ml. solutlon in samples 1 through and 1 mg. phosphate 10 P O per ml. solution in sample 11). Also sample 8 was inn jected in the same manner except that a volume of 0.015 in which Average M.W. refers to the average molecular ml. was injected instead of 0.12 ml. to reduce the dosage weight of the phosphate moiety of the sample and in of the complex by a factor of 8. This was labeled sample which Fraction in Raw Stock with reference to sam- 12.
- ples 1-1, 12, 13, 14, 1-6, l-7 and l-8 refer to the Three hours after intravenous administration, some of normalized percent by weight of each of these samples the mice to which each sample was administered were in sample 1, whlch is the raw stock which is fractionated.
- Phosphate sample 1 (FMC) 1-1 1-2 1-3 1-4 1-6 1-7 1-8 2 4 5 6 7 8 9 10 11 12 5 4 4 4 5 5 1s 29 17 30 58 32 2 34 13 5 35 24 0.5 7 6 7 8 3 29 19 24 32 78 38 2 5 20 3 47 36 5 6 8 7 11 11 37 63 36 55 140 55 17 49 31 11 81 32 Bone/kidneys 1 1 1 1 3 2 9 12 8 9 13 12 3 9 5 1 12 6 Percent having phosphate moiety M.W. less than 300 15 3 3 5 13 17 90 100 55 99 98 98 100 100 100 10 100 100 Phosphate composition:
- the uptakes (the bone uptake figures represent the average bone uptake for the skeletal system) are in terms of percent of the total technetium-99m activity injected (corrected for radioactive decay) which has collected in the various organs indicated three hours after in vivo intravenous injection, in which the ratio amounts are computed from the uptake amounts adjusted to compen sate for the different weights of the organs and the different weights of the animals by dividing each uptake amount by the ratio expressed in percentage of the weight of such organ to the weight of the animal, in which Percent Having Phosphate Moiety M.W.
- phosphate moiety as used herein is limited to that part of the compound or complex made up of phosphate phosphorus and oxygen atoms
- Ortho P refers to the phosphate moiety of sodium orthophosphate
- Pyro P refers to the phosphate moiety of sodium pyrophosphate
- Tripoly P refers to the phosphate moiety of sodium tripolyphosphate
- Tetrapoly P refers to the phosphate moiety of sodium tetrapolyphosphate
- Trimeta R conventional scanning by radioactive imaging using a gamma ray-excited scintillation or gamma camera and a dual crystal rectilinear scanner was used in vivo. In vivo sci
- the Tc-Sn++ pyrophosphate complexes of the present invention are rapidly cleared from the blood by deposition in bone and excretion into urine.
- the technetium-99m-stannouspyrophosphate complexes are metabolizable.
- the deposition of the -Tc-stannous-pyrophosphate complexes of the invention appears to be primarily a function of the bone blood flow as well as being related to the efficiency of the bone in extracting the complex from the blood which perfuses the bones.
- Radiopharmaceutical Localized areas of abnormal accumulation of the radiopharmaceutical may be seen in primary malignancies of the bone, metastatic malignancies of the bone, acute or chronic osteomyelitis, arthritides, recent fractures, areas of ectopic calcification, Pagets disease, regional migratory osteoporosis, areas of aseptic necrosis and in general any pathological situation involving bone in which there is increased osteogenic activity or localized increased osseous blood perfusion.
- mice The acute toxicity level in mice (LD for sample No. 2 has been determined to be 150 mg./kg. body weight and for sample 6 it is 800 mg./kg. and for sample 8 it is 70 mg./kg. Subacute toxicity studies in mice of sample 2 have shown no signs of toxicity after 15 daily injections at dose levels as high as 63 mg./kg. body weight/ day. A similar subacute study in dogs indicates no signs of toxicity at a dose level of 3.6 mg./kg. body weight/ day.
- samples 4 and 6 were only one fourth as toxic to mice as sample 2 and one-eighth as toxic to mice as sample 1.
- the complexes of the invention have been used successfully as a skeletal imaging or scanning agent to visualize areas of altered blood flow to the bone and altered osteogenic activity, including suspected bone lesions not shown on X-ray, bone survey performed as par-t of a work-up in patients with known or suspected malignancy, to follow the response of metastatic or primary bone lesions to radiation therapy, metabolic bone disease, to diagnose arthritis and osteomyelitis, and to diag nose and determine healing rate of bone fractures.
- the technetium-99m Tc labelling reactions involved in preparing the Tc-stannous-phosphate complexes of the invention depend on maintaining the tin in the reduced or stannous (Snstate. Oxidants present in the pertechnetate supply may adversely affect quality.
- the radioactive dosage of the Te complex of the invention may vary from 1 to 25 mCi (millicuries) but preferably is from to mCi.
- the dosage should preferably be substantially less than or 25, preferably less than 8 or 10 and more preferably less than 5 or 6 mg. of pyrophosphate moiety per kilogram of body weight of the mammal since greater pyrophosphate dosages than this reduces the bone-liver ratio too much. Note for example the low bone-liver ratio in sample 8 where the dosage was mg. pyrophosphate per kg. body weight compared to the bone-liver ratio of sample 11 where the dosage was 3.1 mg./kg. body weight.
- the dosage of pyrophosphate can be kept small either by use of more dilute dosage solutions of the pure pyrophosphate, as in sample 11 or by administering smaller doses of a more concentrated complex solution, the phosphate moiety of which contains a high concentration of pyrophosphate or by more concentrated solutions of phosphate containing, in addition to the pyrophosphate, ring phosphate and/or orthophosphate which effectively dilute the pyrophosphate concentration of the dose.
- Tc-Sn++-phosphate solution containing between 0.1 and 40, more preferably between 0.5 and 4 or 5 mgs. of pyrophosphate moiety per ml. of solution.
- An advantage of a complex containing a relatively large amount of ring phosphate and a smaller amount of pyrophosphate is that the ring phosphate in addition to providing excellent bone up-take and bone-to-other-organ ratios is less toxic than pyrophosphate, although pyrophosphate, alone, is still not unduly toxic.
- Scanning may be commenced as early as one hour after intravenous administration and may be as long after injection as clinically useful amounts of Tc remain in the organ.
- Another manner of making the complex of the invention is to weigh 4 mg. of SnCl .2H O and 100 mg. of sodium pyrophosphate into a flask (the flask is sterile and non-pyrogenic and is flushed with nitrogen before weighing and is kept under nitrogen during this step and for the next step).
- the sterile stannous chloride can first be aseptically mixed with the sterile Tc saline solution to form a Tc-stannous complex, followed by adding the sterile sodium pyrophosphate under aseptic conditions to form the Tc-stannous-pyrophosphate, adjusting the pH to 3-8, followed by intravenous injection.
- Tc-stannousphosphate complex in which the phosphate moiety comprises pyrophosphate and in which such moiety contains no more than 25% by weight of linear polyphosphate of molecular weight greater than that of pyrophosphate (samples l-7, l-8, 2, 4, 5 and 6, 8, l1 and 12) gives surprising higher bone uptake and ratio of bone uptake to other organs, as compared to orthophosphate and other polyphosphates, e.g. tripolyphosphate, tetrapolyphosphate and longer chain polyphosphates (see samples 1, 1-2 to 1-6, 7, 9' and 10).
- the pyrophosphate moiety of the Tc-stannous-phosphate complex may be from 1 or 2% or even less up to 100% by weight of the total phosphate moiety.
- the pyrophosphate moiety consists of 5 or 10% or more of the total phosphate moiety, more preferably 50% or 60% or more and most preferably between and
- the stannous (Sn++) ion is by far preferred, the divalent ferrous (Fe++) ion in the form of ferrous ascorbate, and reduced zirconium can also be used but without as good results. All these metals can exist in a plurality of redox states.
- the phosphate may be added' to the solid SnCl as an aqueous solution, or it may be added to a solution of the SnCl to form the Sn++-phosphate complex followed by adding the Tc solution.
- the Weight ratio of Sn++ ion to the pyrophosphate moiety may vary over a wide range, i.e. from 10- to 0.50, preferably 0.01 to 0.4. It is preferred that the molecular ratio of Sn++ to pyrophosphate moiety not exceed 2/ 1. The maximum ratio is dictated by the amount beyond which the precipitation of Sn' occurs. The minimum amount required is that amount necessary to bind a sufficient amount of Tc to the pyrophosphate to achieve good bone uptake and contrast. This can be determined by routine experiment.
- the pH of the stannous-phosphate complex may be between 3 and 8.
- the water used for making the complexes of the invention is distilled and is at an elevated temperature of 200 F. during removal of dissolved oxygen and reduction of oxidants by bubbling the nitrogen gas therethrough.
- the maximum amount of Tc is that beyond the capacity of the Sn++-pyrophosphate complex to bind the Tc. This can be determined by routine thin layer radiochro-matography to determine the percent of free or unbound Tc in the complex. The minimum amount is diqated by that amount below which there is an insufficient amount to give good scanning of bone uptake and contrast, which also can be determined by routine experiment.
- the amount of Tc added to the Sn++ pyrophosphate complex should be sufficient to achieve the counting rate desired by the doctor or laboratory personnel for the volume to be injected; ordinarily, as aforesaid, the activity dosage varies from 5 to 25 millicuries.
- sodium pyrophosphates are preferred, any alkali metal, such as potassium and lithium, or ammonium can be used as the cation so long as it is pharmaceutically acceptable so that it can be safely administered intravenously. Also the acid pyrophosphates of such cations can be used.
- saline water was used as the vehicle, any other vehicle which is pharmaceutically acceptable for intravenous administration can be used.
- a metabolizable radioactive bone seeking composition for in vivo concentrating Tc in the skeletal structure of mammals comprising a technetium-99m-stannousphosphate complex, the phosphate moiety of which comprises pyrophosphate, said phosphate moiety containing no more than 25% by weight of linear polyphosphate of formulation P having a molecular weight greater than pyrophosphate.
- composition according to claim 1 substantially 100% by weight of said phosphate moiety being said pyrophosphate.
- a metabolizable, radioactive bone seeking composition according to claim 1 at least the major portion of 10 any phosphate in said phosphate moiety other than pyrophosphate being selected from the group consisting of orthophosphate and ring phosphate of formula P O f and combinations thereof.
- composition according to claim 5 where the n of said P O is equal to 3.
- composition according to claim 1 at least 5% by weight of said phosphate moiety being said pyrophosphate.
- composition according to claim 1 said phosphate moiety comprising a mixture of said pyrophosphate, an orthophosphate and a ring phosphate of formula P O 9.
- n is 3.
- composition according to claim 1 wherein at least about of said phosphate moiety is said pyrophosphate.
- a composition according to claim 1 substantially any phosphate in said phosphate moiety other than pyrophosphate being selected from the group consisting of a ring phosphate of formula P O one or more phosphates of formula (P O of which not more than 10% by weight has an n value greater than 2 and combinations thereof.
- composition according to claim 11 wherein not more than 5% by weight of said (P O has an n value greater than 2.
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Priority Applications (10)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00288577A US3851044A (en) | 1972-09-13 | 1972-09-13 | Bone seeking technetium 99m stannous phosphate complex |
CA000179088A CA1120687A (en) | 1972-09-13 | 1973-08-17 | Bone seeking technetium 99m complex |
DE19732344802D DE2344802A1 (de) | 1972-09-13 | 1973-09-05 | Technetium-99m-komplex und dessen verwendung zur radioaktiven untersuchung der skelettstruktur von saeugetieren |
DE2344802A DE2344802C2 (enrdf_load_stackoverflow) | 1972-09-13 | 1973-09-05 | |
DE2366614A DE2366614C2 (enrdf_load_stackoverflow) | 1972-09-13 | 1973-09-05 | |
GB4268673A GB1441145A (en) | 1972-09-13 | 1973-09-11 | Bone seeking technetium 99m complex |
GB2236375A GB1441146A (en) | 1972-09-13 | 1973-09-11 | Precursor for preparing a bone-seeking technetium-99m complex |
US05/410,086 US4016249A (en) | 1972-09-13 | 1973-10-26 | Bone seeking technetium 99m complex |
US05/657,923 US4082840A (en) | 1972-09-13 | 1976-02-13 | Bone seeking technetium 99m complex |
CA278,675A CA1080432A (en) | 1972-09-13 | 1977-05-18 | Stannous-pyrophosphate complex |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00288577A US3851044A (en) | 1972-09-13 | 1972-09-13 | Bone seeking technetium 99m stannous phosphate complex |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US05/410,086 Division US4016249A (en) | 1972-09-13 | 1973-10-26 | Bone seeking technetium 99m complex |
Publications (1)
Publication Number | Publication Date |
---|---|
US3851044A true US3851044A (en) | 1974-11-26 |
Family
ID=23107716
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00288577A Expired - Lifetime US3851044A (en) | 1972-09-13 | 1972-09-13 | Bone seeking technetium 99m stannous phosphate complex |
Country Status (4)
Country | Link |
---|---|
US (1) | US3851044A (enrdf_load_stackoverflow) |
CA (1) | CA1120687A (enrdf_load_stackoverflow) |
DE (3) | DE2344802A1 (enrdf_load_stackoverflow) |
GB (2) | GB1441145A (enrdf_load_stackoverflow) |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3976762A (en) * | 1974-07-05 | 1976-08-24 | Minnesota Mining And Manufacturing Company | Multi-organ technetium complexes production and use thereof |
US4075314A (en) * | 1976-04-29 | 1978-02-21 | Mallinckrodt, Inc. | Stannous pyrophosphate technetium-99m compositions |
US4104366A (en) * | 1975-09-29 | 1978-08-01 | Henkel Kommanditgesellschaft Auf Aktien | Compositions for preparation of aqueous solutions of low valence 99 technitium salts |
US4133872A (en) * | 1975-09-29 | 1979-01-09 | Henkel Kommanditgesellschaft Auf Aktien (Henkel Kgaa) | Compositions for preparation of aqueous solutions of salts of lower valence 99 technetium |
US4508704A (en) * | 1984-02-27 | 1985-04-02 | The Dow Chemical Company | Radioactive metals complexed with phosphonate derivatives of bicycloheptane bis(alkylamines) |
US4515767A (en) * | 1983-06-20 | 1985-05-07 | The Dow Chemical Company | Radioactive metals complexed with phosphonate derivatives of dicyclopentadienebis(methylamine) |
US4560548A (en) * | 1984-04-10 | 1985-12-24 | The Dow Chemical Company | Bone seeking Tc-99m complexes of phosphonate derivatives of bis(aminoalkyl)piperazine |
US4606907A (en) * | 1984-07-02 | 1986-08-19 | The Dow Chemical Company | Bone seeking Tc-99m complexes of phosphonate derivatives of polyamidoamines |
US4898724A (en) * | 1984-06-04 | 1990-02-06 | The Dow Chemical Company | Organis amine phosphonic acid complexes for the treatment of calcific tumors |
US4910012A (en) * | 1988-03-30 | 1990-03-20 | Hoechst Aktiengesellschaft | Products containing Tc-99-m-ωalkylphosphinico-1-hydroxyalkane-1,1-diphosphonates for bone scintigraphy and a process for the preparation of these products |
US5066478A (en) * | 1984-06-04 | 1991-11-19 | The Dow Chemical Company | Radio labeled organic amine phosphonic acid complexes for the treatment of calcific tumors |
US8865123B1 (en) * | 2010-09-16 | 2014-10-21 | Mo-Sci Corporation | Strontium phosphate microparticle for radiological imaging and therapy |
US9849200B2 (en) | 2010-09-16 | 2017-12-26 | Mo-Sci Corporation | Strontium phosphate microparticle for radiological imaging and therapy |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2281134A1 (fr) * | 1974-08-06 | 1976-03-05 | Commissariat Energie Atomique | Procede de marquage au 99m technetium |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2187314B1 (enrdf_load_stackoverflow) * | 1972-06-06 | 1975-06-20 | Commissariat Energie Atomique |
-
1972
- 1972-09-13 US US00288577A patent/US3851044A/en not_active Expired - Lifetime
-
1973
- 1973-08-17 CA CA000179088A patent/CA1120687A/en not_active Expired
- 1973-09-05 DE DE19732344802D patent/DE2344802A1/de active Granted
- 1973-09-05 DE DE2366614A patent/DE2366614C2/de not_active Expired
- 1973-09-05 DE DE2344802A patent/DE2344802C2/de not_active Expired
- 1973-09-11 GB GB4268673A patent/GB1441145A/en not_active Expired
- 1973-09-11 GB GB2236375A patent/GB1441146A/en not_active Expired
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3976762A (en) * | 1974-07-05 | 1976-08-24 | Minnesota Mining And Manufacturing Company | Multi-organ technetium complexes production and use thereof |
US4104366A (en) * | 1975-09-29 | 1978-08-01 | Henkel Kommanditgesellschaft Auf Aktien | Compositions for preparation of aqueous solutions of low valence 99 technitium salts |
US4133872A (en) * | 1975-09-29 | 1979-01-09 | Henkel Kommanditgesellschaft Auf Aktien (Henkel Kgaa) | Compositions for preparation of aqueous solutions of salts of lower valence 99 technetium |
US4075314A (en) * | 1976-04-29 | 1978-02-21 | Mallinckrodt, Inc. | Stannous pyrophosphate technetium-99m compositions |
US4515767A (en) * | 1983-06-20 | 1985-05-07 | The Dow Chemical Company | Radioactive metals complexed with phosphonate derivatives of dicyclopentadienebis(methylamine) |
US4508704A (en) * | 1984-02-27 | 1985-04-02 | The Dow Chemical Company | Radioactive metals complexed with phosphonate derivatives of bicycloheptane bis(alkylamines) |
US4560548A (en) * | 1984-04-10 | 1985-12-24 | The Dow Chemical Company | Bone seeking Tc-99m complexes of phosphonate derivatives of bis(aminoalkyl)piperazine |
US4898724A (en) * | 1984-06-04 | 1990-02-06 | The Dow Chemical Company | Organis amine phosphonic acid complexes for the treatment of calcific tumors |
US5066478A (en) * | 1984-06-04 | 1991-11-19 | The Dow Chemical Company | Radio labeled organic amine phosphonic acid complexes for the treatment of calcific tumors |
US5300279A (en) * | 1984-06-04 | 1994-04-05 | The Dow Chemical Company | Organic amine phosphonic acid complexes for the treatment of calcific tumors |
US4606907A (en) * | 1984-07-02 | 1986-08-19 | The Dow Chemical Company | Bone seeking Tc-99m complexes of phosphonate derivatives of polyamidoamines |
US4910012A (en) * | 1988-03-30 | 1990-03-20 | Hoechst Aktiengesellschaft | Products containing Tc-99-m-ωalkylphosphinico-1-hydroxyalkane-1,1-diphosphonates for bone scintigraphy and a process for the preparation of these products |
US8865123B1 (en) * | 2010-09-16 | 2014-10-21 | Mo-Sci Corporation | Strontium phosphate microparticle for radiological imaging and therapy |
US9409776B2 (en) | 2010-09-16 | 2016-08-09 | Mo-Sci Corporation | Strontium phosphate microparticle for radiological imaging and therapy |
US9849200B2 (en) | 2010-09-16 | 2017-12-26 | Mo-Sci Corporation | Strontium phosphate microparticle for radiological imaging and therapy |
Also Published As
Publication number | Publication date |
---|---|
GB1441146A (en) | 1976-06-30 |
GB1441145A (en) | 1976-06-30 |
CA1120687A (en) | 1982-03-30 |
DE2344802C2 (enrdf_load_stackoverflow) | 1989-10-05 |
DE2366614C2 (enrdf_load_stackoverflow) | 1989-07-06 |
DE2344802A1 (de) | 1974-03-21 |
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